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Updated: May 18, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Excellent results of lesser tuberosity transfer in acute locked posterior shoulder dislocation
Marc Banerjee1, Maurice Balke, Bertil Bouillon
1Department of Orthopedic and Trauma Surgery, Faculty of Health, School of Medicine, Cologne Merheim Medical Center, Witten/Herdecke University, Ostmerheimerstr. 200, 51109, Cologne, Germany, marc.banerjee@gmx.de.
Purpose:
The aim of the present study was to evaluate the clinical and radiological results of lesser tuberosity transfer in acute locked posterior shoulder dislocation with a humeral head defect between 25 and 45 %.
Methods:
Clinical and radiological results of seven patients with locked posterior shoulder dislocation with a humeral head defect between 25 and 45 % which were managed with a modification of the McLaughlin procedure within 14 days after injury were evaluated retrospectively after a mean follow-up of 41 months.
Results:
All shoulders remained stable. The results were good in one and excellent in six patients with a median absolute Constant score of 92 (range 80-98). Mean active pain-free abduction was 171.4° (SD 6.4), mean flexion was 175.7° (SD 4.9), and mean external rotation was 54.3° (SD 17.6). Internal rotation was restricted in all patients. There were no radiological signs of osteoarthritis.
Conclusions:
Lesser tuberosity transfer shows excellent clinical and radiographic mid-term results in acute cases of locked posterior shoulder dislocation with a reverse Hill-Sachs lesion between 25 and 45 %.